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MRS. KIMBERLY JEAN EDWARDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
2116 W SOUTH 3RD ST, SHELBYVILLE, IL 62565-9102
(217) 774-2128
Mailing address
921 S MADISON ST, SULLIVAN, IL 61951-2323
(217) 273-0282

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.005186
IL

Other

Enumeration date
06/25/2019
Last updated
06/25/2019
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